Provider Demographics
NPI:1952556003
Name:MALO, RONALD (DVM)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:MALO
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 MILLERSPORT HWY
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1453
Mailing Address - Country:US
Mailing Address - Phone:716-688-9424
Mailing Address - Fax:716-688-7283
Practice Address - Street 1:3210 MILLERSPORT HWY
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1453
Practice Address - Country:US
Practice Address - Phone:716-688-9424
Practice Address - Fax:716-688-7283
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008966174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian